Case Presentation: A 45-year-old previously healthy male with a known history of polysubstance use (tobacco, ethanol, and cocaine) presented to the emergency department with sudden onset left-sided facial droop, hemiparesis, hemisensory loss, and dysarthria. The patient reported using cocaine twelve hours previously. On arrival, the EKG revealed complete atrial ventricular dissociation with a ventricular escape [...]

Case Presentation: A 29-year-old previously healthy male presented to an outside hospital emergency department with two days of flu-like symptoms including fever, chills, nausea, vomiting, abdominal pain, and recurrent episodes of syncope. On arrival, physical exam revealed a heart rate of 50 beats/minute and a blood pressure of 75/53 mmHg, elevated JVP, diminished right basilar [...]

Case Presentation: An 81 year-old man presented to hospital with five days of short-term memory loss and irritability. He was noted to remember 0 out of 3 objects on delayed recall and was only oriented to self, otherwise neurologic and physical exam was unremarkable. Labs were significant for serum sodium of 125 millimoles/liter, urine sodium [...]

Case Presentation: 34-year-old lady with IgG deficiency, pseudotumor cerebri post VP shunt, malnutrition, recently started on jejunostomy nutrition presented with fever and chills for 1 week. Associated symptoms were frontal headache and generalized muscle pain. Labs were significant for leukocytosis of 7,900 and CPK of 12,920, and a positive blood culture for Eneterobacter Aerogenes and Pseudomonas Aeruginosa. [...]

Case Presentation:  A 41 year-old male with HIV/AIDS (diagnosed three years ago), cutaneous Kaposi Sarcoma (KS), started on combination antiretroviral treatment (cART) three months ago (CD4 270, Viral load (VL) >2000 at the time of initiation of cART), recent VL of 39, who presented with worsening shortness of breath, cough, abdominal pain, abdominal distention and [...]

Case Presentation: A 23-year-old female with a history of acne presented with abdominal pain and bloody diarrhea for 1 day. The pain was crampy in nature and located in her lower abdomen, without radiation or modifying factors.  She was passing frequent watery bowel movements with a small amount of blood. She denied any recent travel, [...]

Case Presentation: 47 year old female with a past medical history of hypertension presented to the emergency room with two days of right upper quadrant pain and a fever to 102F. For several months prior, she complained of bloating, intermittent diarrhea and diffuse abdominal pain that now localized. Her social history was positive for recent [...]

Case Presentation: A 35 year old female with no significant past medical history developed fever late in the third trimester of her second pregnancy. The prior and current pregnancy had been uneventful.  The fever was believed to be viral and she rested at home.  After being seen by her OB with persistent fever, she was [...]

Case Presentation: A 62-year-old woman with a medical history significant for seizure disorder presented with a right tibia fracture following a mechanical fall. She underwent open reduction and internal fixation of the right tibia and was extubated without difficulty following surgery. The following day, she became febrile and hypoxemic, requiring an escalating amount of oxygen [...]

Case Presentation: A 34-year-old woman with a history of type 1 diabetes mellitus (T1DM) with baseline HbA1c of 9.1%, cerebral palsy and chronic constipation was admitted to intensive care unit with intractable vomiting, diarrhea and severe metabolic acidosis. Prior to hospitalization she had been receiving an aggressive bowel regimen due to persistent constipation. Her medication [...]